| NPI | 1841210002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R0511) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR #5466) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |